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Reconstruction of a Subtotal Maxillectomy Defect Using a Customized Titanium Implant in a 4-Year-Old Child: An 8-Year
1European Face Centre, Universitair Ziekenhuis Brussel, Vrije Universiteit Brussel, Brussels, Belgium.
Frontiers in Surgery
|June 26, 2020
Summary
Alloplastic reconstruction using titanium implants can prevent stigma in young children needing maxillectomy reconstruction. This method supports transverse maxillary growth and offers a viable temporary solution for defect repair.
Area of Science:
- Oral and Maxillofacial Surgery
- Pediatric Plastic Surgery
- Biomaterials Engineering
Background:
- Maxillectomy defects in young children present unique challenges for reconstruction.
- Traditional methods may lead to significant aesthetic and functional deficits.
- Alloplastic reconstruction offers a potential alternative for early-stage defect management.
Observation:
- A 4-year-old child underwent subtotal maxillectomy reconstruction using a 3D-printed titanium implant.
- The implant was split to accommodate transverse growth, with an 8-year follow-up.
- Vertical support was incorporated to mitigate shear forces on fixation screws.
Findings:
- Alloplastic reconstruction successfully prevented social stigma associated with maxillectomy defects in a pediatric patient.
- Titanium osseointegration facilitated stable reconstruction.
- Splitting the prosthesis did not impede transverse maxillary growth.
Implications:
- Alloplastic reconstruction is a viable temporary solution for pediatric maxillectomy defects.
- This approach can improve outcomes and reduce psychological impact in young patients.
- Further research into long-term efficacy and growth modulation is warranted.
